title: Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
abstract: OBJECTIVE
  To describe the diagnosis and management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
  
  
  METHODS
  Case reports.
  
  
  METHODS
  Departments of Obstetrics and Gynecology and Radiology at General Hospital.
  
  
  METHODS
  A 32-year-old woman and a 41-year-old woman each developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
  
  
  METHODS
  Uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy was diagnosed on ultrasonography, computerized tomographic angiography, and digital subtraction angiography, and treated by transcatheter arterial embolization.
  
  
  METHODS
  Uterine conservation.
  
  
  RESULTS
  Fertility preservation was achieved in both of these women who developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
  
  
  CONCLUSIONS
  Early diagnosis and endovascular management of uterine artery pseudoaneurysm after myomectomy are important to prevent life-threatening hemorrhage caused by pseudoaneurysmal rupture.
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. Electronic address: gyendoscopy@gmail.com.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Takeda
authors.affiliation: Department of Radiology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Koyama
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
authors.forename: Sanae
authors.initials: S
authors.lastname: Imoto
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Mori
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Sakai
authors.affiliation: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D009214:Myoma / Q000601:surgery; D016491:Peripheral Vascular Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000098:blood supply*